论文部分内容阅读
1病历资料患者,女,58岁,农民。发现右手拇指残端肿物1年余,近半年肿物逐渐增大,无灼痛、发痒等症状,影响外观及手功能入院。患者于3年前放鞭炮时不慎炸伤右手拇指,造成右手拇指末节缺如,于我院急症行示指背侧逆行岛状皮瓣局部转移修复,术后康复出院。查体:患者神志清,精神可,纳可眠可,无贫血及恶病质,体表浅表淋巴结未触及肿大。右手拇指残端掌侧皮肤可见黑色斑(图1),拇指感觉减退,背侧可触及一肿物,边
Patient information, female, 58 years old, farmer. Findings of the right thumb stump more than 1 year, nearly six months gradually increased tumor mass, no burning, itching and other symptoms affect the appearance and hand function of admission. Patients placed firecrackers 3 years ago accidentally injured right thumb, resulting in the right thumb missing the abdomen, in our hospital acute referral refers to the dorsal retrograde island flap local transfer and repair, postoperative recovery. Physical examination: patients with clear consciousness, the spirit can be satisfied that sleep may be no anemia and cachexia, surface superficial lymph nodes did not touch the swelling. Right hand thumb stump palm side of the skin visible black spots (Figure 1), the thumb feeling diminished, dorsal touches a tumor, while